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Atk 10,1 <br /> SAN JOAQUIN COUNTY • PUBLIC HEALTH SERVICES/ENVIRONRENTAL HEALTift <br /> SITE MITIGATION/ASS,CSSSMENT SUBMITTAL LOG SITE ADDRESS /�//CONSULTANT CO J <br /> CONTACT NAME PHONE <br /> OTHER CONTACT NAME or INFO , PHONE <br /> SITE CODE # PROD/ELEMENT '2 BILL RIG CODE—�ASSICNED TO71 <br /> TITLE OF SUBMITTAL: <br /> DATE RECEIVED / DATE ON SUBMITTALI OT REQUEST OT REQUEST DATE <br /> TYPE OF SUBMITTAL CODE TYPE OF SUBMITTAL CODE <br /> RE-EXCAVATION WKPLN 1 PERMIT APPLICATION w/o WRKPLH 10 PERMIT FEE PD CK #/CASH DATE <br /> SITE ASSESS WKPLN 2 WORKPLAN for PERMIT ACTIVITY 11 $ <br /> ASSESSMENT REPORT 3 OTHER MiKPLII w/o PERMIT ACTIVITY 16 E <br /> ASSESS RPT w/WKPLN 4 OTHER AGENCY REPORT 17 S <br /> REMED ACTION PLH (RAP) 5 LETTER 18 $ <br /> ASSESS RPT w/RAP 6 PUBLIC PART iHFO 19 REVIEW FEE PO CK #/CASH DATE <br /> FINAL REMED PLN (FRP) 8 $ <br /> DRILY RPT/POST REMED MONITORING 9 S <br /> STAFF REVIEW DUE: _/_/� OT SCHEDULED. _/�/^_ 07 COMPLETED: <br /> ACTION DATE ACTION DATE ACTION DATE <br /> ACKNOWLG/COMMTMNT LTR REOSTD INCCMPLETE/ADDTNL INFO RECSTD SRP DUE <br /> ACKNOWLG/COMMTMNT LTR RECVD REVISION REOSTO PR DUE <br /> RWDCB COMMENTS REPORT REV I C PAR DUE <br /> OTHER AGENCY APPROVAL LF./! A 0!{ FRP DUE <br /> r <br /> ADDENDUM/ADDTNL INFO RECVD DENIED REVISICN DUE <br /> PERMIT ISSUED W / B SPECIAL PERMIT ISSUED OTHER AGENCY DUE DATE <br /> WORKPLAN REVIEW COMPLETE CC1114ENT LTR SENT PROJECT COMPLETE/FINAL DILL <br /> EN 29 03 (PLNLOG revised 5191) <br />